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Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits

Week 6 Discussion Part I

Table 1

Differential Diagnosis Pediatric Limp

Complete
the table. CC limp

Condition

Age

Pain (+ or -)

Historical Findings

Clinical Findings

Causative Factors

Management

Developmental Dysplasia of Hip

 

 

 

 

 

 

Leg-length Inequality

 

 

 

 

 

 

Juvenile Arthritis

 

 

 

 

 

 

Slipped capital femoral epiphysis (SCFE)

 

 

 

 

 

 

Legg-Calve-Perthes disease

 

 

 

 

 

 

Transient synovitis

 

 

 

 

 

 

Trauma

 

 

 

 

 

 

Neoplasm

 

 

 

 

 

 

Septic arthritis

 

 

 

 

 

 

Acute hematogenous osteomyelitis

 

 

 

 

 

 

 Table 2

Differential Diagnosis Pediatric Headaches

Complete the table.

Common Types

Diagnostic Criteria Based on History

Treatment/Management

Pediatric Migraine Headache

 

 

Tension Headache

 

 

Chronic Tension Headache

 

 

Other Differentials: List 3 additional differentials for
headache

Characteristics

Management

1. 

 

 

2.

 

 

3.

 

 

Table 3

Musculoskeletal Disorders and Sports-Related Injuries 

Complete the table.

 

Adolescent Idiopathic Scoliosis

Osgood-Schlatter Disease

Meniscal Tear

Quadriceps Contusion

Sprain of MCL

Osteochondritis dissecans

Description

 

 

 

 

 

 

Screening Test?

 

 

 

 

 

 

How do you perform the screening test?

 

 

 

 

 

 

Imaging?

 

 

 

 

 

 

Treatment Plan

 

 

 

 

 

 

Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits and his BMI is 24.

  • What more should you know about Jim?
  • What information in your history and exam would be red flags suggestive of secondary or pathologic headaches
  • What education would you provide for Jim and his parents?
Jim is a 17-year-old who was brought into the clinic today for a headache. He reports nausea and an increase in stress from school and after-school activities (basketball practice and debate team). His vital signs are within normal limits
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